Individual
JAMES M. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
429 W WALNUT ST, LEBANON, KY 40033-1346
(270) 699-4602
(270) 692-5255
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7906
(615) 920-8938
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DR.0054702
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-31948
LICENSE
KS
01
—
105556
BLUE CROSS BLUE SHIELD
KS
01
—
50485
LICENSE
KY
05
—
59805307
—
CO
01
—
N5407
TEXAS LICENSE
TX
Enumeration date
07/07/2006
Last updated
03/07/2023
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